Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.66 / $410.66 / $2,630.36	Facility		$410.66	$410.66	$2,630.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.88 / $410.66 / $2,630.36	Professional		$305.88	$410.66	$2,630.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $638.16 / $638.16 / $638.16	Professional		$638.16	$638.16	$638.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.85 / $1,284.70 / $2,893.85	Facility		$311.85	$1,284.70	$2,893.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.67 / $414.81 / $721.88	Professional		$378.67	$414.81	$721.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,079.32 / $1,927.36	Facility		$97.00	$1,079.32	$1,927.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,209.61 / $2,817.59	Professional		$100.00	$1,209.61	$2,817.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.41 / $427.25 / $487.32	Facility		$426.41	$427.25	$487.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $311.89 / $455.47	Professional		$311.89	$311.89	$455.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.05 / $405.66 / $1,002.82	Professional		$338.05	$405.66	$1,002.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.99 / $638.16 / $1,385.71	Professional		$546.99	$638.16	$1,385.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,495.98 / $3,613.43 / $4,330.34	Facility		$1,495.98	$3,613.43	$4,330.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,729.14 / $4,842.63 / $5,128.05	Professional		$4,729.14	$4,842.63	$5,128.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,654.18 / $1,654.18 / $1,654.18	Professional		$1,654.18	$1,654.18	$1,654.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.22 / $791.90 / $914.18	Facility		$220.22	$791.90	$914.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $825.28	Professional		$311.89	$427.25	$825.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,720.72 / $1,720.72 / $1,720.72	Professional		$1,720.72	$1,720.72	$1,720.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $338.05 / $574.69 / $729.32	Professional		$338.05	$574.69	$729.32
United Facility/Professional Professional Modifier Low / Median / High Price $321.08 / $400.63 / $919.79	Professional		$321.08	$400.63	$919.79